For-Profit Medicare Medicaid

SMITH RANCH SKILLED NURSING & REHABILITATION CENTE

1550 SILVEIRA PARKWAY, San Rafael, CA 94903

4.0 CMS Rating
For profit - Limited Liability company
80 Certified Beds
78 Safety Score

Based on 2026 CMS Data

Official Government Ratings

Health Inspections

Frequency & severity of deficiencies


Staffing Levels

Nurse hours per resident per day


Quality Measures

Clinical outcomes & care quality

Resident Council Active

Active councils indicate resident empowerment and facility transparency.

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Care Quality Indicators

Pressure Ulcers (High Risk) 3.77%

Lower is better

Antipsychotic Medication Use 6.19%

Lower is better

Falls with Major Injury 2.65%

Lower is better

Short-Stay Rehospitalized 22.78%

Lower is better

How SMITH RANCH SKILLED NURSING & REHABILITATION CENTE Compares

SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is a 80-bed for-profit nursing facility in San Rafael, California. It holds an overall CMS rating of 4 out of 5 stars, above the California average of 3.2 stars. Its strongest area is quality measures, rated 5 stars. Its rate of falls resulting in major injury (2.6%) is above the California average of 1.6% — a measure worth asking the staff about. With 80 certified beds, it operates near capacity at roughly 90% occupied.

Among the 7 nursing facilities ElderVoice tracks in San Rafael, 1 hold a 5-star rating and the local average is 3.0 stars.

By the numbers vs. California average

  • Long-stay antipsychotic medication use: 6.2% — better than the California average of 11.6% (47% lower).
  • Falls with major injury: 2.6% — worse than the California average of 1.6% (61% higher).
  • High-risk pressure ulcers: 3.8% — better than the California average of 4.5%.
  • Short-stay rehospitalization: 22.8% — better than the California average of 23.1%.

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against California averages across 1162 facilities tracked by ElderVoice.

The Senior Community Around San Rafael

San Rafael sits in Marin County, where adults 65 and older make up about 22.3% of the population — a higher share of seniors than California as a whole (14.3% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.

Residents 65+
57,834 (22.3%)
Median age
47.1 years
Median household income
$121,671
Median home value
$1,053,600

Demographics for Marin County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near San Rafael.

Facility Details

CMS Provider ID 555595
County Marin
Total Beds 80
Occupied Beds 72
Occupancy Rate 90%
Ownership For profit - Limited Liability company

Other Facilities in San Rafael

Location

1550 SILVEIRA PARKWAY, San Rafael, CA 94903

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Important Data Disclaimer

All facility information, ratings, and quality metrics displayed on this page are sourced from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. Data was last updated: May 4, 2026.

ElderVoice does not endorse, recommend, or guarantee any nursing home facility. The Safety Score is a proprietary calculation based on publicly available CMS data and is provided for informational purposes only. It should not be the sole factor in your care decisions.

We strongly recommend visiting facilities in person, speaking with staff and current residents' families, and verifying all information directly with the facility before making any decisions. For official Medicare ratings and complaint information, visit Medicare Care Compare.